Question

A 71-year-old man with HFrEF and resting HR 78 on maximally titrated carvedilol, EF 30%, sinus rhythm, on ARNI/MRA/SGLT2 asks about ivabradine. What requirement must be met to consider ivabradine?

Accepted Answer

Heart rate >=70 bpm in sinus rhythm despite maximized beta blocker

Answer

Atrial fibrillation present

Answer

QRS >=150 ms

Answer

EF >40%

Answer

Baseline BP <90/60

Practice question

A 71-year-old man with HFrEF and resting HR 78 on maximally titrated carvedilol, EF 30%, sinus rhythm, on ARNI/MRA/SGLT2 asks about ivabradine. What requirement must be met to consider ivabradine?